स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
MECEE-PG – MD/MS/MDS Entrance · २,८६५ प्रश्न
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS प्रवेश: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A newborn infant presents with severe cyanosis, tachypnea, and a characteristic ‘egg-on-a-string’ appearance on chest radiography. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) A) Congenital Heart Disease (e.g., Tetralogy of Fallot)
Option A is correct; the ‘egg-on-a-string’ appearance strongly suggests congenital heart disease, particularly conditions causing right-to-left shunts like Tetralogy of Fallot. Option B is less likely given the cyanosis, C is a more general respiratory condition and D presents with different radiographic findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 30-year-old female presents after a motor vehicle accident with significant pelvic fractures. Imaging reveals evidence of bowel perforation. Which clinical finding would be MOST critical to assess immediately?
सही उत्तर: क) Absent femoral pulses
Absent femoral pulses is the most immediate and critical indicator of vascular compromise in a patient with pelvic fractures, particularly with bowel perforation, representing potential for hemorrhagic shock.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 65-year-old male presents with sudden onset lower back pain radiating down his left leg. Neurological examination reveals significant L2 weakness and sensory loss in the foot. Which nerve root is MOST likely affected?
सही उत्तर: घ) L5 Root
The combination of lower back pain with radiation, L2 weakness, and sensory loss in the foot strongly suggests compression or irritation of the L4 nerve root, commonly due to spinal stenosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST reliably indicate a diagnosis of Whipple's triad (Charcot's Triad)?
सही उत्तर: ख) Fever, right upper quadrant pain, and anorexia.
Charcot's triad – fever, jaundice, and right upper quadrant abdominal pain – is the classic presentation of acute cholangitis caused by gallstone obstruction. The other options present with incorrect combinations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset of severe abdominal pain, guarding, and rigidity. Physical examination reveals rebound tenderness. Which of the following conditions is MOST likely?
सही उत्तर: ख) Pancreatitis
The presentation – severe pain, guarding/rigidity, rebound tenderness – strongly suggests acute pancreatitis. While appendicitis and perforated diverticulitis can also cause these symptoms, they typically don’t present with the same degree of systemic inflammatory response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following structures is MOST commonly involved in testicular torsion?
सही उत्तर: घ) Epididymis
The vas deferens is the primary pathway for sperm transport and is frequently compressed or twisted during testicular torsion, leading to ischemia. The testicular artery is a collateral vessel, scrotal skin is affected by trauma, and the epididymis contains developing sperm which are relatively protected.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents with sudden onset of severe lower abdominal pain, vaginal bleeding, and fetal distress. The initial assessment reveals a complete placental abruption. What is the MOST immediate priority in managing this situation?
सही उत्तर: ख) Initiate preterm delivery via induction or cesarean section
With a complete placental abruption, rapid delivery is the priority to minimize fetal morbidity and maternal hemorrhage. While antibiotics and oxygen are important, they take secondary importance to immediate delivery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week-old infant presents with failure to thrive, delayed milestones, and a slightly enlarged liver. Initial laboratory investigations reveal elevated alpha-fetoprotein levels. Which of the following conditions is MOST likely?
सही उत्तर: ख) Biliary Atresia
Elevated Alpha-Fetoprotein levels are strongly associated with Biliary Atresia, a congenital condition affecting the bile ducts. Transient hypercalcemia can also occur in infants but doesn’t always correlate with alpha-fetoprotein. Alactase syndrome and galactosemia present with different clinical features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary diagnostic criterion for diagnosing Bronchiolitis Obliterans (Hissing Cough Syndrome) in a pediatric patient?
सही उत्तर: क) Persistent wheezing without obstruction
Bronchiolitis obliterans is diagnosed based on radiographic findings – typically, mosaic attenuation and/or tapering of the involved airways. Wheezing indicates airway obstruction, inflammation requires fluid analysis, and clinical presentation alone doesn’t confirm the diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn screened at birth for congenital hypothyroidism uses which test to measure thyroid function?
सही उत्तर: ख) Serum TSH assay
The Free T4 assay is the standard screening test for congenital hypothyroidism in newborns. Serum TSH levels are used to confirm a positive Free T4 result. The other options are not primarily used for initial newborn thyroid screening.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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